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分娩方式对早发型胎膜早破患者妊娠结局及情绪的影响分析

Effect of delivery mode on pregnancy outcome and emotion in patients with premature rupture of membranes
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摘要 目的:探讨不同分娩方式对早发型胎膜早破患者妊娠结局的影响。方法:回顾性分析2019年2月至2021年2月医院收治的120例早发型胎膜早破患者的临床资料。根据不同的分娩方式,将患者分为对照组(剖宫产,60例)和观察组(阴道分娩,60例)。分析比较两组的产妇不良妊娠结局、围产儿不良结局以及产后抑郁情况[爱丁堡产后抑郁量表(Edinburgh Postnatal Depression,EPDS)评分]。结果:观察组产褥病发生率、产后出血发生率明显低于对照组(P<0.05)。两组围产儿不良结局发生率对比无显著差异。对照组EPDS评分显著高于观察组(P<0.05)。结论:分娩方式对早发型胎膜早破围产儿影响较小,与剖宫产相比,阴道分娩可改善患者妊娠结局,在患者身体条件适宜时可鼓励其优先选择阴道分娩。 Objective:To investigate the effects of different delivery methods on pregnancy outcomes in patients with premature rupture of membranes.Methods:The clinical data of 120 patients with premature rupture of membranes admitted to hospital from February 2019 to February 2021 were retrospectively analyzed.According to different delivery methods,the patients were divided into control group(cesarean section,60 cases)and observation group(vaginal delivery,60 cases).Maternal adverse pregnancy outcomes,perinatal adverse outcomes and postpartum Depression(Edinburgh Postnatal Depression Scale(EPDS)score)were analyzed and compared between the two groups.Results:The incidence of puerperal disease and postpartum hemorrhage in observation group was significantly lower than that in control group(P<0.05).There was no significant difference in the incidence of perinatal adverse outcomes between the two groups.EPDS score in control group was significantly higher than that in observation group(P<0.05).Conclusion:Delivery mode has little effect on perinatal infants with premature rupture of membranes.Compared with cesarean section,vaginal delivery can improve the pregnancy outcome of patients,and vaginal delivery can be encouraged to give priority to patients when their physical conditions are suitable.
作者 李莹莹 Lee Ying-ying(Department of Obstetrics&Gynecologye,Xinyang People's Hospital,Xinyang 464000,Henan,China)
出处 《四川生理科学杂志》 2024年第5期1104-1105,共2页 Sichuan Journal of Physiological Sciences
关键词 早发型胎膜早破 剖宫产 阴道分娩 妊娠结局 Premature rupture of membranes Caesarean section Vaginal delivery Pregnancy outcome
作者简介 李莹莹,女,主治医师,主要从事妇产科临床工作,Email:zhanglim233@163.com。
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